Name of the Procedure:

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Summary

This is a surgical procedure to repair tears or cuts (lacerations) in the floor of the mouth or the front two-thirds of the tongue that are 2.5 centimeters in length or smaller. It typically involves cleaning the wound, stitching it to promote proper healing, and ensuring no foreign objects remain in the area.

Purpose

The procedure addresses injuries to the floor of the mouth or tongue to prevent infection, restore function, and promote proper healing of the tissues. The goal is to repair the laceration effectively while minimizing scarring and complications.

Indications

• Cuts or tears in the floor of the mouth or anterior two-thirds of the tongue measuring 2.5 cm or less.
• Bleeding from the injured area that does not stop with basic first aid.
• Difficulty in eating, speaking, or swallowing due to the laceration.
• Risk of infection due to the location and nature of the wound.

Preparation

• Patients may need to fast for a few hours before the procedure if it involves sedation.
• Inform the doctor of any medications, as some might need to be adjusted or stopped temporarily.
• A dental or oral examination may be performed to assess the extent of the injury.

Procedure Description

1. The patient is positioned appropriately, ensuring easy access to the mouth and tongue.
2. Local anesthesia is administered to numb the area, or sedation might be used depending on the patient's comfort and the complexity of the laceration.
3. The wound is cleaned thoroughly to remove debris and reduce the risk of infection.
4. Sutures (stitches) are carefully placed to close the laceration, ensuring they are secure and appropriately spaced for optimal healing.
5. Any bleeding is controlled, and the area is re-examined to ensure the repair is adequate.
6. The patient is provided with care instructions and follow-up information.

Duration

The procedure typically takes around 30 to 60 minutes, depending on the complexity of the laceration.

Setting

The procedure is commonly performed in an outpatient clinic, hospital, or surgical center.

Personnel

• Surgeon or Oral and Maxillofacial Surgeon
• Nurses or Surgical Technicians
• Anesthesiologist or Nurse Anesthetist (if sedation or general anesthesia is necessary)

Risks and Complications

• Infection at the site of the laceration
• Bleeding, both during and after the procedure
• Nerve damage leading to numbness or altered sensation
• Scar formation
• Adverse reactions to anesthesia or sedation
• Difficulty swallowing or speaking temporarily post-procedure

Benefits

• Reduces the risk of infection
• Promotes proper healing and function of the mouth and tongue
• Minimizes scarring
• Restores the ability to eat, speak, and swallow comfortably

Recovery

• Patients may need to follow a soft or liquid diet for a few days post-procedure.
• Pain management includes prescribed or over-the-counter pain relievers.
• Keeping the area clean and avoiding irritating foods or beverages is advised.
• Follow-up appointments are usually necessary to monitor healing and remove stitches if non-absorbable sutures are used.
• Most patients can return to normal activities within a few days to a week.

Alternatives

• Allowing the laceration to heal on its own, which may be appropriate for very minor cuts.
• Using tissue adhesives or glue for minor lacerations, though they may not be suitable for all cases.
• The use of laser treatment for precise repair and faster healing in some specialized centers.

Patient Experience

During the procedure, patients might feel some pressure or pulling but should not feel pain due to anesthesia. Post-procedure, there may be mild to moderate pain managed with medications. Some swelling or discomfort in the mouth is to be expected but should subside within a few days.